April 29, 2024

How COVID-19 Can Impact the Heart: Inflammation, Oxidative Stress and Calcium Changes

Theyre likewise more likely to have other heart issues, like arrhythmias (irregular heart rhythms) and myocarditis (inflammation of the heart muscle).
When calcium in the heart ends up being dysregulated, it can trigger arrhythmias or heart failure.
They observed modifications to the heart tissue including immune cell infiltration, collagen deposition (a sign of injury), death of heart cells, and blood clots. They also determined modifications to the heart proteome– the proteins that are expressed by the heart cells– and discovered patterns consistent with changes observed to human hearts that were infected with COVID-19, as well as markers of cardiomyopathy, which can make it harder for the heart to pump blood to the body and can lead to heart failure.

Hearts from mice contaminated with COVID-19 have actually an increased percentage of fibrosis and dilation of the fibers– a typical indicator of early cardiomyopathy in mice. Credit: Image courtesy of Andrew Marks
COVID-19 infection can cause changes in calcium channels that can affect how the heart beats, it can likewise set off inflammation and oxidative stress in the heart.
Potentially dangerous heart concerns can be triggered by COVID-19 infections. Scientific studies suggest that individuals with COVID-19 are 55% most likely to suffer a significant adverse cardiovascular occasion, consisting of heart attack, death, and stroke, than those without COVID-19. Theyre also more most likely to have other heart concerns, like arrhythmias (abnormal heart rhythms) and myocarditis (inflammation of the heart muscle).
Andrew Marks, a cardiologist and biophysics professor at Columbia University, Steven Reiken, a research researcher in Marks lab, and coworkers, have actually studied some of the changes that take place in the heart that could lead to these problems. Reiken will present their work on Monday, February 20 at the 67th Annual Biophysical Society Meeting in San Diego, California.

In heart tissue from clients who had COVID-19, the team observed boosts in oxidative tension (damaging production of unsteady molecules) and signals of swelling, in addition to changes in calcium. They also identified adverse modifications to a protein called RyR2, which is accountable for managing the hearts calcium ion levels. The heart muscle, like all muscle cells, requires calcium ions to contract. The hearts system for managing calcium ions is important for the collaborated contractions of the atria and ventricles that pump blood throughout the body. When calcium in the heart becomes dysregulated, it can cause arrhythmias or cardiac arrest.
To study modifications to the heart even more, they used a mouse design contaminated with COVID-19. They observed changes to the heart tissue including immune cell infiltration, collagen deposition (indicative of injury), death of heart cells, and blood embolisms. They also determined changes to the heart proteome– the proteins that are expressed by the heart cells– and found patterns consistent with changes observed to human hearts that were contaminated with COVID-19, along with markers of cardiomyopathy, which can make it harder for the heart to pump blood to the body and can cause cardiac arrest.
“The more awareness you build around specific aspects of a disease, the more likely you are to improve the care of patients. And doctors ought to be aware of heart modifications related to COVID-19 infections and need to be looking for them,” Marks stated.
Ultimately, “we desire to truly determine whats causing the heart problem and how to repair it,” Marks stated. Understanding modifications at the molecular level might reveal drug targets that might improve heart symptoms related to COVID-19 and assistance health care specialists detect and treat these concerns more efficiently. Furthermore, comprehending the cardiac problems of COVID-19 can likewise help public health authorities make more educated decisions about how to react to the COVID-19 pandemic, particularly in recommending those at higher danger for heart problems.